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* 1. How many patients with influenza do you currently manage in your practice?

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* 2. How confident are you in your ability to manage these patients?

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* 3.  Which of the following best describes the impact of this activity on your performance?

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* 4. How committed are you to making changes in your practice based on your participation in this activity?

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* 5. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 6. What barriers do you see to making changes in your practice?

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* 7. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

For questions 8-10, please rate your level of agreement by checking the appropriate rating.

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* 8. After participating in today’s activity, I am now able to:

  Strongly agree Agree Neutral Disagree Strongly disagree
Explain the importance of vaccination in preventing the spread of influenza and minimizing morbidity and mortality outcomes
Integrate guideline recommendations for the diagnosis of influenza into clinical practice
Apply knowledge of antiviral therapy and guideline recommendations to administer chemoprophylaxis to individuals at risk of influenza and associated complications
Appraise current and emerging antiviral agents for use in patients with influenza

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* 9. William A. Fischer II, MD, effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 10. The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Avoided commercial bias or influence

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* 11. If you indicated that you perceived commercial bias or influence, please describe:

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* 12. The teaching and learning methods were effective.

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* 13. The learning assessment used for this activity was appropriate.

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* 14. How would you rate the format of this activity?

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* 15. Would you be willing to participate in a post activity follow-up survey?

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